听说过椎间盘突出 你看过椎间盘爆掉吗?
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40岁女业务因迟未治疗椎间盘突出,长期吃药忍痛,结果椎间盘竟爆裂压迫神经造成剧痛,接受内视镜神经减压手术,共取出9颗爆裂掉的椎间盘。图/杨椒乔医师提供
40岁女业务因迟未治疗椎间盘突出,长期吃药忍痛,结果椎间盘竟爆裂压迫神经造成剧痛,接受内视镜神经减压手术,共取出9颗爆裂掉的椎间盘。图/杨椒乔医师提供
杨椒乔提醒,椎间盘突出最常发生在40至50岁间,提醒患者应避免提重物、过度弯腰或剧烈运动,减少复发机率。记者蔡容乔/摄影
一名40岁女业务因椎间盘突出长期腰痛,又不愿动脊椎手术,只能吃止痛药度日,一天早上起床,坐骨神经一阵剧痛,吓得她赶紧就医,医师发现是急性椎间盘突出,立刻进行脊椎内视镜神经减压手术,竟取出多达9颗“爆裂型”突出椎间盘。患者术后恢复良好,不但可立即下床,隔天就出院搭高铁返回北部。
收治该病患的活力得中山脊椎外科医院院长杨椒乔医师9日表示,这名女业务因为工作性质,得四处趴趴走,也经常久坐办公室连络客户,长期为腰痛所苦。一年前曾到其他医院就医,但得知须打骨钉做“脊椎融合术”,担心伤口大、需要半年时间恢复,只要腰痛就自行服用止痛药。
杨椒乔说,女业务就医时,不仅腰直不起来,且一动就痛,臀部和大小腿后侧酸、麻、痛,痛到几乎不能走路;诊断发现她的第5腰椎与第1荐椎间,产生爆裂型的急性椎间盘突出,压迫到腰椎前后侧神经,相当罕见。
杨椒乔表示,透过内视镜手术,将患者突出的椎间盘切除,解除神经压迫,取出的爆裂椎间盘竟高达9颗之多,其中有3颗还超过1公分大小。
杨椒乔说,椎间盘突出最常发生在40至50岁之间的病人,几乎每3个人中就有1人遭受或曾经遭受过椎间盘突出折磨,有9成都会影响第5腰椎和第1荐椎神经根,提醒患者应避免提重物、过度弯腰,才能避免造成椎间盘压力,一再复发。
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